NPI | 1962466706 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA LYNN FAISON Chief Operations Officer 804-553-3249 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 160) |
Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: VA 160) |
101YM0800X Counselor, Mental Health (Licence: VA 160) | |
Enumeration Date | 2006-04-17 |
Last Update Date | 2020-08-22 |